SCRIBEAMERICA Final Exam Questions & Answers
General normal benign Well developed, well nourished, no acute distress
exam
Eyes normal benign exam PERRL, EOMI
ENT normal benign exam Moist mucous membranes
Neck normal benign exam Supple, no lymphadenopathy
Cardiovascular normal Well perfused, RRR, no murmurs, rubs or gallops.
benign exam Distal pulses intact
Respiratory normal benign No respiratory distress, clear to auscultation
exam bilaterally, no wheezes, rales or rhonchi
Abdominal normal benign Non-distended, soft, non-tender, no guarding,
exam rebounding or rigidity
Extremities normal benign No edema, full ROM
exam
Skin normal benign exam Dry, no rashes, warm
Neurological normal Alert and oriented, normal speech
benign exam
Psychiatric normal benign Normal affect
exam
, What is doctor examining General appearance, eyes, skin
when looking at the
patient
What is doctor examining Heart rate, rhythm, murmur
when auscultating the
heart
What is doctor examining Breath sounds
when auscultating the
lungs
What is doctor examining Abdominal tenderness, soft
when palpating the
abdomen
What is doctor examining Edema, distal pulses, tenderness
when examining the legs
What is doctor looking for Pharyngeal erythema or exudates
when examining the throat
What is doctor looking for TM erythema or bulging
when examining the inner
ear
What is doctor looking for Hyperactive/hypoactive bowel sounds
when auscultating the
abdomen
What is doctor looking for Radial pulses
when touching the rist
What is doctor looking for Calf tenderness
when squeezing the calf
muscles
What is doctor looking for CVA tenderness (area where kidneys are)
when pounding the back
NAD (abnormal Mild/moderate/severe distress
alternative)
General normal benign Well developed, well nourished, no acute distress
exam
Eyes normal benign exam PERRL, EOMI
ENT normal benign exam Moist mucous membranes
Neck normal benign exam Supple, no lymphadenopathy
Cardiovascular normal Well perfused, RRR, no murmurs, rubs or gallops.
benign exam Distal pulses intact
Respiratory normal benign No respiratory distress, clear to auscultation
exam bilaterally, no wheezes, rales or rhonchi
Abdominal normal benign Non-distended, soft, non-tender, no guarding,
exam rebounding or rigidity
Extremities normal benign No edema, full ROM
exam
Skin normal benign exam Dry, no rashes, warm
Neurological normal Alert and oriented, normal speech
benign exam
Psychiatric normal benign Normal affect
exam
, What is doctor examining General appearance, eyes, skin
when looking at the
patient
What is doctor examining Heart rate, rhythm, murmur
when auscultating the
heart
What is doctor examining Breath sounds
when auscultating the
lungs
What is doctor examining Abdominal tenderness, soft
when palpating the
abdomen
What is doctor examining Edema, distal pulses, tenderness
when examining the legs
What is doctor looking for Pharyngeal erythema or exudates
when examining the throat
What is doctor looking for TM erythema or bulging
when examining the inner
ear
What is doctor looking for Hyperactive/hypoactive bowel sounds
when auscultating the
abdomen
What is doctor looking for Radial pulses
when touching the rist
What is doctor looking for Calf tenderness
when squeezing the calf
muscles
What is doctor looking for CVA tenderness (area where kidneys are)
when pounding the back
NAD (abnormal Mild/moderate/severe distress
alternative)